Reg/Forms 03/13/2018

Undergraduate Student Petition Process

Review the following information and instructions:Your petition is a request for the University to make an exception to an academic calendar deadline. Petitions are considered ONLY in the case of extenuating circumstances. Common examples include a serious illness, a death in the immediate family, a medical emergency or a university error that either affected your attendance and completion of classes, or precluded your ability to drop, withdraw, or cancel your enrollment by the deadline.

The explanation of your extenuating circumstances and the verifiable documents you provide are the primary basis the committee will use to approve or deny your request. (See examples of documentation below.) Simply forgetting a deadline, receiving a low grade, or changing your major are not considered extenuating circumstances.

1. Complete all relevant sections of the Undergraduate Student Petition Form that follows and submit it to the WSU Vancouver Office of Student Affairs and Enrollment. Petitions and all supporting documentation must be received by 5 p.m. the last working day of each month to be considered at the next Petitions Committee meeting (usually held the second Thursday of each month).

2. Arrange for all instructors to email a statement directly to van.petitions@wsu.edu verifying non-attendance or stating last date of attendance.

3. Be sure to explain the extenuating circumstances that impacted your ability to meet the posted deadline(s). Include specific dates and names.

4. Attach all supporting documentation to your petition. Letters and statements of support should be on letterhead with signatures (if external to WSU) and include a review of the circumstances with specific dates and any recommendations.

Remember to sign, date and submit the petition form and all supporting documentation to:

WSU Vancouver Office of Student Affairs and Enrollment 14204 NE Salmon Creek Ave. Vancouver, WA 98686 Fax: 360-546-9032

Graduate students: You must submit a Graduate Student Petition Form to request exceptions to the academic calendar or graduate school deadlines. https://studentaffairs.vancouver.wsu.edu/registrars-office/forms-resources-students

Limitations (Academic Regulation 57): http://www.catalog.wsu.edu/Vancouver/AcademicRegulations/ListBy/57 • Requests for exceptions to the academic calendar deadlines must be made within two years of the date of

enrollment in the course. • Petitions for exception to the withdrawal limit must be filed by the end of the term in which the course was taken.

Examples of documentation:Medical documentation—A letter from your health care provider on clinic/agency letterhead that includes a description of the medical condition, the approximate date the condition began, treatment rendered, and how that condition affected your ability to function academically.

Non-medical documentation— • Advisor statement e-mailed directly from the advisor to van.petitions@wsu.edu • Copies of prior correspondence (letters, emails, etc.) • Financial aid documents • Counseling or court records • Other proof of non-attendance or “extraordinary circumstances” (all letters from companies/agencies external to

WSU must be on letterhead with appropriate signature)

Questions?Contact us at 360-546-9779 or van.petitions@wsu.edu.

Reg/Forms 03/13/2018

Undergraduate Student Petition Form

Personal Information (PLEASE PRINT) ______________________________________________________________________________________________________________ LAST NAME FIRST NAME MIDDLE ____________________________________________________________________________ STREET ADDRESS (CURRENT MAILING ADDRESS; INCLUDE APARTMENT NUMBER) _____________________________________________ ___________________________ ________________________ CITY STATE ZIP ________________________________________ WSU STUDENT ID NUMBER __________________________ _______________________________________________________________________ PHONE NUMBER EMAIL ADDRESS*

*Current students—provide your WSU email address. Former students—provide your personal email address. The Petition Committee's decision will be sent to this email address.

Petition RequestPlease check the appropriate box:

Drop course past deadline (normal drop deadline is the 30th day of the semester)

Withdraw from course past deadline (normal withdrawal period is from the 31st day through the 13th week of the semester; review Academic Regulations 57 and 67-69 online at http://www.catalog.wsu.edu/vancouver/academicregulations)

Tuition adjustment to: % ___________

Waive late fees for Term/Year: ______________________ (specify which fees in your written statement)

Change letter grade to pass/fail (requires advisor's written approval; GER courses cannot be taken pass/fail)

Change Pass/Fail to letter grade

Retroactive cancellation of enrollment for Term/Year: ______________________ (withdrawal from all courses after the last day of instruction for a specific semester)

Other (please explain):

Complete the following information for term/courses of petition:

Fall Spring Summer _____________ YEAR

Course prefix/number Section number Number of credits Course 1

Course 2

Course 3

Course 4

Course 5

Explanation of Extenuating Circumstances

Briefly describe the extenuating circumstances which are the basis of your request and sign below. Attach documents that support your petition. ______________________________________________________ ____________________ STUDENT SIGNATURE DATE

Reg/Forms 03/13/2018